The use of chaining in rational-emotive therapy

The focus of this paper is on the concept of chaining in rationalemotive therapy. Four types of chains are discussed and illustrated: (a) inference chains; (b) inference-evaluative belief chains; (c) disturbance about disturbance chains and (d) complex chains.Windy Dryden Ph.D. is a Lecturer in Psychology at Goldsmiths' College, University of London.     

The process of rational-emotive therapy

This paper describes the process of rational-emotive psychotherapy. Not a “how to do it” cookbook, it distinguishes RET as following four overlapping stages, called rational-emotive psychodiagnosis, rational-emotive insight, and rational-emotive working through I and II. The reader is encouraged to use this model of RET's process to understand what is done in RET and why.     

The client-therapist relationship in rational-emotive therapy

In this article, an analysis of rational-emotive therapy (RET) is made with particular attention to the client-therapist relationship as well as to the personal therapeutic style and influence of its founder, Albert Ellis, on patients in therapy. Features of RET and its practice by Albert Ellis which appear to foster the therapist-client relationship include: 1. varying therapy style depending on client characteristics; 2. persistently pointing out client's irrational thoughts as a way of demonstrating therapist's helping efforts; 3. successful completion by client of assigned homework; 4. therapy is focused on current, meaningful problems of client; 5. RET therapists' communication to client's of their own faith in the validity of RET therapy; 6. use by therapist of compliments about client's brightness, competence and likelihood of success in therapy. While RET may not be everybody's cup of tea (e.g., religious individuals), it does appear that the aspects noted above contribute to the fostering of a positive relationship in therapy and can be influential in producing positive outcomes in therapy. The present article is a condensed and updated version of a previously published chapter: Garfield, S.L., The client-therapist relationship in rational-emotive therapy. In M.E. Bernard & R. DiGiuseppe (Eds.),Inside rational-emotive therapy (pp. 113–134). San Francisco, CA: Academic Press.     

The efficacy of rational-emotive group therapy in psychiatric inpatients

The impact of rational-emotive theory and therapy upon the practice of clinical psychology has been profound, and many purportedly objective experimental tests of its efficacy as a mode of treatment have been reported. Yet the great majority of these reports have failed to utilize actual clinical populations. This study evaluated rational-emotive group therapy with psychiatric inpatients. Results supported the claim that irrational beliefs are related to emotional disturbance. It was also shown that patients undergoing rational-emotive group therapy changed their self-reported irrational beliefs more than did a control group. Finally, there was a trend for the experimental subjects to be more likely to have been discharged from the hospital during the 90-day follow-up period than were control subjects. However, this study failed to demonstrate that change in irrational beliefs was related to improvement in psychiatric symptoms or rates of discharge from the hospital. Some of the difficulties in conducting treatment evaluation research in a psychiatric hospital setting are discussed with respect to these results.     

Clinical effects of biofeedback treatment in migraine: The relation to achieved self-control and pretreatment predictors

Abstract

Factors contributing to the headache reduction six months after treatment of sixty-three migraine subjects were examined in three different studies. Subjects had originally been treated with either peripheral skin temperature biofeedback, biofeedback for blood-volume-pulse amplitude of the temporal artery, or applied relaxation. In Study 1 it was found that biofeedback subjects who had achieved self-control of the trained physiological parameter had significantly greater headache reductions than “nonlearners”. In Studies 2 and 3, potential predicting factors of clinical effects were studied. Age and whether subjects had achieved self-control emerged as (weak) predictors in different analyses using discriminant analysis. Using “PLS” (partial least squares projections to latent structures) a model emerged which gave a more complex picture, and which might indicate for example that there are different sets of factors which predict success and predict nonsuccess in treatment.     

Measurement of rational-emotive therapy in outcome studies

Outcome research has to date yielded little convincing evidence concerning the effectiveness and mechanisms of action of RET. One major cause of this problem appears to be the lack of empirical evidence to confirm that outcome studies have implemented RET as it is theoretically intended and with high quality. This paper reviews constructs relevant to the measurement of psychotherapy conditions in outcome studies (adherence, purity, differentiability, and quality), surveys the extent to which these constructs have been considered in prior RET outcome research, and offers recommendations for methodological improvements in future studies in this area.David A. F. Haaga, Ph.D. is Assistant Professor of Psychology at The American University, Windy Dryden, Ph.D. is Senior Lecturer in Psychology at Goldsmiths' College, University of London. Christine P. Dancey, Ph.D. is now Lecturer in Psychology at the Polytechnic of East London.     

Group rational-emotive and cognitive-behavioral therapy.

The theory of rational-emotive therapy (RET) and of cognitive-behavioral therapy (CBT) is briefly explained and is applied to group therapy. It is shown how RET and CBT therapy groups deal with transference, countertransference, levels of group intervention, process versus content orientation, identifying underlying group process themes, here-and-now activation, working with difficult group members, activity levels of therapist and group members, and other group problems. Although they particularly concentrate on people's tendencies to construct and create their own "emotional" difficulties, RET and CBT group procedures fully acknowledge the interactions of human thoughts, feelings, and actions and active-directively employ a variety of cognitive, emotive, and behavioral group therapy techniques.     

The revised ABC's of rational-emotive therapy (RET)

Although I was perceptive enough to realize, in my first paper on rational-emotive therapy (RET) in 1956, that cognitions, emotions, and behaviors almost always are not pure or disparate but significantly include each other, I have appreciably added to this concept and have stressed forceful emotive and educative, as well as strong behavioral, techniques of RET in recent years. I have also increasingly pointed out that the ABC's of RET-A standing for Activating Events, B for Beliefs about these events, and C for emotional and behavioral Consequences of these Beliefs-also influence, include, and interact with each other. The present paper gives salient details of how A's, B's, and C's, as well as cognitions, emotions, and behaviors all importantly affect one another and how they become combined into dysfunctional, demanding core Basic Philosophic Assumptions that lead to neurotic disturbances. To change and to keep changing these dysfunctional basic assumptions, RET uses a number of intellectual, affective, and action techniques that often are applied in a forceful, persistent, active-directive manner. It is more cognitive than most of the other cognitive-behavior therapies in that it tries to help many (not all) clients to make an elegant or profound philosophic change (Ellis, 1979b, 1985b). But it is also more emotive and behavioral than most other popular therapies in that it assumes that neurotic individuals' core basic philosophies assumptions are, as Muran (in press) points out, tacit cognitive-affective-motoric structures that account for emotional experiences in the face of external stimuli, and that therefore therapists had better teach their clients (and the general public) several powerful cognitive-emotive-behavioral methods of helping themselves change.Albert Ellis is President of the Institute for Rational-Emotive Therapy, 45 East 65th Street, New York, NY, 10021     

Reflections on the continuing evolution of rational-emotive therapy

Three basic contentions of RET are briefly discussed, with particular emphasis on their implications for psychotherapy. Personal responsibility is seen as a prime directive and the cornerstone of the other two contentions, which involve emphases on the present and on action. The philosophical and dialectical emphases of rational emotive behavior therapy are acknowledged as important aspects of its continuing evolution.     

A rational-emotive theory of marital dysfunction and marital therapy

This article first discusses some rational-emotive perspectives on marital and couples therapy, including what constitutes a good relationship, some important differences between rational-emotive and other couples therapy approaches, and an RET classification of relationship problems. Second, this article also sketches out ways in which social exchange principles can be integrated into rational-emotive couples therapy.This is a revised version of a paper that originally appeared in A. Ellis and M. Bernard's (Eds.) 1985 text,Applications of Rational Emotive Therapy, Plenum Publishing Co., New York.     

Computers in biofeedback research and therapy

While biofeedback is being used extensively in the clinic and the laboratory, a great deal of variability exists among biofeedback users with respect to instrumentation, treatment protocols, techniques of data acquisition, and methods of data analysis. It is argued that the use of computers in biofeedback will help reduce some of this variability. Other advantages of computers in biofeedback are discussed. Several presently available automated systems are reviewed. Implications for future biofeedback research are also discussed.     

Electrical safety in the use of biofeedback instruments

Electrical hazards associated with the use of medical apparatus are described with emphasis on biofeedback instruments. Safety standards specify safe current levels for instruments in normal operation; however, the user can take steps to provide back-up protection against hazards caused by component malfunction or breakdown. Measures for protection of patient and operator are outlined, including instrument design considerations and guidelines for the user to follow in order to provide a margin of safety.     

Setting and response generalization in rational-emotive therapy: A case study

A single case study (n=1) conducted during therapy investigated the relationship between disputing irrational beliefs in vivo and setting and response generalization. Irrational beliefs associated with the subject's anger and depression were disputed at different intervals over a ten week period utilizing a multiple baseline design across four classes in a school setting (setting 1). Depression and anger were rated several times each week. The subject's level of anxiety was also rated in setting 1 but the irrational beliefs associated with it were not disputed. Anger, depression, and anxiety were rated without disputation in a separate work setting (setting 2). Affect ratings significantly decreased across both settings throughout the ten week period. Results indicated that 1) disputing irrational beliefs associated with anger and depression in setting 1 led to reductions in anxiety in this setting (response generalization), 2) anger and depression reductions in setting 2 paralleled setting 1 reductions (setting generalization), and 3) anxiety reductionsWilliam J. Ruth, PhD, Staff Psychologist and practicum supervisor, Institute for Rational-Emotive Therapy, NY City; School Psychologist, Board of Cooperative Educational Services, Southern Westchester.Raymond DiGiuseppe, PhD, ABPP, Director of Training and Research, Institute for Rational-Emotive Therapy, NY City; Graduate Professor, St. John's University, NY City; co-author,Practitioner's Guide to Rational-Emotive Therapy and RET with Alcoholics and Substance Abusers.